EP0392837A3 - Vorrichtung zur thermischen Zerstörung von Geweben - Google Patents
Vorrichtung zur thermischen Zerstörung von Geweben Download PDFInfo
- Publication number
- EP0392837A3 EP0392837A3 EP19900303939 EP90303939A EP0392837A3 EP 0392837 A3 EP0392837 A3 EP 0392837A3 EP 19900303939 EP19900303939 EP 19900303939 EP 90303939 A EP90303939 A EP 90303939A EP 0392837 A3 EP0392837 A3 EP 0392837A3
- Authority
- EP
- European Patent Office
- Prior art keywords
- electrode
- mucosal layer
- gall bladder
- current
- distal end
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1402—Probes for open surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00084—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
- A61B2018/00071—Electrical conductivity
- A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/02—General characteristics of the apparatus characterised by a particular materials
- A61M2205/0266—Shape memory materials
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Surgical Instruments (AREA)
- Thermotherapy And Cooling Therapy Devices (AREA)
- Laser Surgery Devices (AREA)
- Non-Silver Salt Photosensitive Materials And Non-Silver Salt Photography (AREA)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US337356 | 1982-01-06 | ||
US07/337,356 US4979948A (en) | 1989-04-13 | 1989-04-13 | Method and apparatus for thermally destroying a layer of an organ |
Publications (3)
Publication Number | Publication Date |
---|---|
EP0392837A2 EP0392837A2 (de) | 1990-10-17 |
EP0392837A3 true EP0392837A3 (de) | 1991-11-21 |
EP0392837B1 EP0392837B1 (de) | 1996-01-31 |
Family
ID=23320237
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP90303939A Expired - Lifetime EP0392837B1 (de) | 1989-04-13 | 1990-04-11 | Vorrichtung zur thermischen Zerstörung von Geweben |
Country Status (4)
Country | Link |
---|---|
US (1) | US4979948A (de) |
EP (1) | EP0392837B1 (de) |
AT (1) | ATE133553T1 (de) |
DE (1) | DE69025083D1 (de) |
Families Citing this family (362)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5547467A (en) * | 1988-01-21 | 1996-08-20 | Massachusettes Institute Of Technology | Method for rapid temporal control of molecular transport across tissue |
US5749847A (en) * | 1988-01-21 | 1998-05-12 | Massachusetts Institute Of Technology | Delivery of nucleotides into organisms by electroporation |
US5389069A (en) * | 1988-01-21 | 1995-02-14 | Massachusetts Institute Of Technology | Method and apparatus for in vivo electroporation of remote cells and tissue |
DE3915636C1 (de) * | 1989-05-12 | 1990-04-26 | Sass, Wolfgang, Dr. | |
US5006119A (en) * | 1989-05-25 | 1991-04-09 | Engineering & Research Associates, Inc. | Hollow core coaxial catheter |
ATE126714T1 (de) * | 1989-06-20 | 1995-09-15 | Rocket Of London Ltd | Apparat zum zuführen elektromagnetischer energie zu einem körperteil eines patienten. |
US5222938A (en) * | 1989-09-15 | 1993-06-29 | Interventional Thermodynamics, Inc. | Method for thermal ablation of hollow body organs |
US5100388A (en) * | 1989-09-15 | 1992-03-31 | Interventional Thermodynamics, Inc. | Method and device for thermal ablation of hollow body organs |
US5045056A (en) * | 1989-09-15 | 1991-09-03 | Behl Robert S | Method and device for thermal ablation of hollow body organs |
US5188602A (en) * | 1990-07-12 | 1993-02-23 | Interventional Thermodynamics, Inc. | Method and device for delivering heat to hollow body organs |
US5460628A (en) * | 1991-01-28 | 1995-10-24 | Neuwirth; Robert S. | Heated balloon medical apparatus with fluid agitating means |
WO1992020290A1 (en) * | 1991-05-17 | 1992-11-26 | Innerdyne Medical, Inc. | Method and device for thermal ablation |
US5277191A (en) * | 1991-06-19 | 1994-01-11 | Abbott Laboratories | Heated catheter for monitoring cardiac output |
US5697281A (en) * | 1991-10-09 | 1997-12-16 | Arthrocare Corporation | System and method for electrosurgical cutting and ablation |
US5697909A (en) * | 1992-01-07 | 1997-12-16 | Arthrocare Corporation | Methods and apparatus for surgical cutting |
JP3530528B2 (ja) * | 1991-11-08 | 2004-05-24 | ボストン サイエンティフィック リミテッド | 絶縁された温度感知素子を有する切除電極 |
IT1251997B (it) | 1991-11-11 | 1995-05-27 | San Romanello Centro Fond | Dispositivo radiante per ipertermia |
US5492529A (en) * | 1991-12-18 | 1996-02-20 | Gynelab Products | Tissue necrosing apparatus and method for using same including treatment of benign prostrate hypertrophy |
US5498261A (en) * | 1991-12-20 | 1996-03-12 | Advanced Cardiovascular Systems, Inc. | Thermal angioplasty system |
US7429262B2 (en) | 1992-01-07 | 2008-09-30 | Arthrocare Corporation | Apparatus and methods for electrosurgical ablation and resection of target tissue |
US6086585A (en) * | 1995-06-07 | 2000-07-11 | Arthrocare Corporation | System and methods for electrosurgical treatment of sleep obstructive disorders |
US6053172A (en) | 1995-06-07 | 2000-04-25 | Arthrocare Corporation | Systems and methods for electrosurgical sinus surgery |
US6500173B2 (en) | 1992-01-07 | 2002-12-31 | Ronald A. Underwood | Methods for electrosurgical spine surgery |
US5683366A (en) | 1992-01-07 | 1997-11-04 | Arthrocare Corporation | System and method for electrosurgical tissue canalization |
US6770071B2 (en) | 1995-06-07 | 2004-08-03 | Arthrocare Corporation | Bladed electrosurgical probe |
US6159194A (en) * | 1992-01-07 | 2000-12-12 | Arthrocare Corporation | System and method for electrosurgical tissue contraction |
US6355032B1 (en) | 1995-06-07 | 2002-03-12 | Arthrocare Corporation | Systems and methods for selective electrosurgical treatment of body structures |
US6179824B1 (en) | 1993-05-10 | 2001-01-30 | Arthrocare Corporation | System and methods for electrosurgical restenosis of body lumens |
US6190381B1 (en) | 1995-06-07 | 2001-02-20 | Arthrocare Corporation | Methods for tissue resection, ablation and aspiration |
US6142992A (en) | 1993-05-10 | 2000-11-07 | Arthrocare Corporation | Power supply for limiting power in electrosurgery |
US6063079A (en) | 1995-06-07 | 2000-05-16 | Arthrocare Corporation | Methods for electrosurgical treatment of turbinates |
US5902272A (en) * | 1992-01-07 | 1999-05-11 | Arthrocare Corporation | Planar ablation probe and method for electrosurgical cutting and ablation |
US6109268A (en) * | 1995-06-07 | 2000-08-29 | Arthrocare Corporation | Systems and methods for electrosurgical endoscopic sinus surgery |
US5681282A (en) * | 1992-01-07 | 1997-10-28 | Arthrocare Corporation | Methods and apparatus for ablation of luminal tissues |
US5697882A (en) | 1992-01-07 | 1997-12-16 | Arthrocare Corporation | System and method for electrosurgical cutting and ablation |
US7297145B2 (en) | 1997-10-23 | 2007-11-20 | Arthrocare Corporation | Bipolar electrosurgical clamp for removing and modifying tissue |
US6102046A (en) | 1995-11-22 | 2000-08-15 | Arthrocare Corporation | Systems and methods for electrosurgical tissue revascularization |
US6210402B1 (en) | 1995-11-22 | 2001-04-03 | Arthrocare Corporation | Methods for electrosurgical dermatological treatment |
US6024733A (en) | 1995-06-07 | 2000-02-15 | Arthrocare Corporation | System and method for epidermal tissue ablation |
US6974453B2 (en) * | 1993-05-10 | 2005-12-13 | Arthrocare Corporation | Dual mode electrosurgical clamping probe and related methods |
WO1993020886A1 (en) * | 1992-04-13 | 1993-10-28 | Ep Technologies, Inc. | Articulated systems for cardiac ablation |
JPH07506991A (ja) * | 1992-04-23 | 1995-08-03 | シメッド ライフ システムズ インコーポレイテッド | 血管穿刺を密封するための装置及び方法 |
US5810810A (en) | 1992-04-23 | 1998-09-22 | Scimed Life Systems, Inc. | Apparatus and method for sealing vascular punctures |
US6063085A (en) | 1992-04-23 | 2000-05-16 | Scimed Life Systems, Inc. | Apparatus and method for sealing vascular punctures |
US5443470A (en) * | 1992-05-01 | 1995-08-22 | Vesta Medical, Inc. | Method and apparatus for endometrial ablation |
US5562720A (en) * | 1992-05-01 | 1996-10-08 | Vesta Medical, Inc. | Bipolar/monopolar endometrial ablation device and method |
US5277201A (en) * | 1992-05-01 | 1994-01-11 | Vesta Medical, Inc. | Endometrial ablation apparatus and method |
US5281218A (en) * | 1992-06-05 | 1994-01-25 | Cardiac Pathways Corporation | Catheter having needle electrode for radiofrequency ablation |
EP0669840A4 (de) * | 1992-09-11 | 1995-11-15 | Advanced Surgical Inc | Selbsteinführender infusionskatheter. |
US6086581A (en) | 1992-09-29 | 2000-07-11 | Ep Technologies, Inc. | Large surface cardiac ablation catheter that assumes a low profile during introduction into the heart |
GB2271932B (en) * | 1992-11-03 | 1996-05-08 | George Thomas Watts | Surgical instrument for tissue coagulation |
WO1994010922A1 (en) * | 1992-11-13 | 1994-05-26 | Ep Technologies, Inc. | Cardial ablation systems using temperature monitoring |
EP0597463A3 (en) * | 1992-11-13 | 1996-11-06 | Dornier Med Systems Inc | Thermotherapiesonde. |
US6923805B1 (en) * | 1992-11-13 | 2005-08-02 | Scimed Life Systems, Inc. | Electrophysiology energy treatment devices and methods of use |
US6117109A (en) * | 1995-11-22 | 2000-09-12 | Arthrocare Corporation | Systems and methods for electrosurgical incisions on external skin surfaces |
US6235020B1 (en) | 1993-05-10 | 2001-05-22 | Arthrocare Corporation | Power supply and methods for fluid delivery in electrosurgery |
US6896674B1 (en) | 1993-05-10 | 2005-05-24 | Arthrocare Corporation | Electrosurgical apparatus having digestion electrode and methods related thereto |
US6749604B1 (en) * | 1993-05-10 | 2004-06-15 | Arthrocare Corporation | Electrosurgical instrument with axially-spaced electrodes |
US6391025B1 (en) | 1993-05-10 | 2002-05-21 | Arthrocare Corporation | Electrosurgical scalpel and methods for tissue cutting |
US6832996B2 (en) | 1995-06-07 | 2004-12-21 | Arthrocare Corporation | Electrosurgical systems and methods for treating tissue |
US6915806B2 (en) * | 1993-05-10 | 2005-07-12 | Arthrocare Corporation | Method for harvesting graft vessel |
US5766153A (en) | 1993-05-10 | 1998-06-16 | Arthrocare Corporation | Methods and apparatus for surgical cutting |
ES2052459B1 (es) * | 1993-07-02 | 1995-02-01 | Biomed S A | Balon oclusor de geometria variable para el cierre temporal o definitivo de defectos septales y otras aplicaciones. |
US5807395A (en) * | 1993-08-27 | 1998-09-15 | Medtronic, Inc. | Method and apparatus for RF ablation and hyperthermia |
US5797903A (en) * | 1996-04-12 | 1998-08-25 | Ep Technologies, Inc. | Tissue heating and ablation systems and methods using porous electrode structures with electrically conductive surfaces |
US5840076A (en) * | 1996-04-12 | 1998-11-24 | Ep Technologies, Inc. | Tissue heating and ablation systems and methods using electrode structures with distally oriented porous regions |
US5709679A (en) * | 1994-03-03 | 1998-01-20 | Essig; Mitchell N. | Myoma removal technique and associated surgical device |
US5505730A (en) * | 1994-06-24 | 1996-04-09 | Stuart D. Edwards | Thin layer ablation apparatus |
US5843077A (en) * | 1994-06-24 | 1998-12-01 | Somnus Medical Technologies, Inc. | Minimally invasive apparatus for internal ablation of turbinates with surface cooling |
US5575788A (en) * | 1994-06-24 | 1996-11-19 | Stuart D. Edwards | Thin layer ablation apparatus |
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US7393351B2 (en) * | 1995-06-07 | 2008-07-01 | Arthrocare Corporation | Apparatus and methods for treating cervical inter-vertebral discs |
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US5983131A (en) * | 1995-08-11 | 1999-11-09 | Massachusetts Institute Of Technology | Apparatus and method for electroporation of tissue |
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US6805130B2 (en) | 1995-11-22 | 2004-10-19 | Arthrocare Corporation | Methods for electrosurgical tendon vascularization |
US6228078B1 (en) | 1995-11-22 | 2001-05-08 | Arthrocare Corporation | Methods for electrosurgical dermatological treatment |
US6896672B1 (en) | 1995-11-22 | 2005-05-24 | Arthrocare Corporation | Methods for electrosurgical incisions on external skin surfaces |
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US7758537B1 (en) | 1995-11-22 | 2010-07-20 | Arthrocare Corporation | Systems and methods for electrosurgical removal of the stratum corneum |
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US7604633B2 (en) | 1996-04-12 | 2009-10-20 | Cytyc Corporation | Moisture transport system for contact electrocoagulation |
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EP0837716A1 (de) * | 1996-05-06 | 1998-04-29 | Thermal Therapeutics, Inc. | Transcervikaler intrauterinapplikatorbei intruterinen hyperthermie |
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WO1997043970A1 (en) * | 1996-05-22 | 1997-11-27 | Somnus Medical Technologies, Inc. | Apparatus and methods for ablating turbinates |
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US6620155B2 (en) | 1996-07-16 | 2003-09-16 | Arthrocare Corp. | System and methods for electrosurgical tissue contraction within the spine |
US6726684B1 (en) | 1996-07-16 | 2004-04-27 | Arthrocare Corporation | Methods for electrosurgical spine surgery |
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FR2501034A1 (fr) * | 1981-03-06 | 1982-09-10 | Francis Brunelle | Procede et electrode pour l'electrocoagulation de vaisseaux sanguins |
EP0182689A2 (de) * | 1984-10-24 | 1986-05-28 | The Beth Israel Hospital Association | Gerät für die "Angioplasty" |
EP0222137A1 (de) * | 1985-10-04 | 1987-05-20 | Basem Dr. Nashef | Sonde für die Behandlung von Hohlorganen mit elektrischem Strom |
US4696668A (en) * | 1985-07-17 | 1987-09-29 | Wilcox Gilbert M | Double balloon nasobiliary occlusion catheter for treating gallstones and method of using the same |
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JPS5957650A (ja) * | 1982-09-27 | 1984-04-03 | 呉羽化学工業株式会社 | 腔内加熱用プロ−ブ |
CA1244889A (en) * | 1983-01-24 | 1988-11-15 | Kureha Chemical Ind Co Ltd | HYPERTHERMIA DEVICE |
SU1093347A1 (ru) * | 1983-02-02 | 1984-05-23 | Целиноградский государственный медицинский институт | Устройство дл УВЧ-терапии |
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DE3516830A1 (de) * | 1985-05-10 | 1986-11-13 | Max Dr. 8520 Erlangen Hubmann | Katheter |
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JPH0311011Y2 (de) * | 1986-06-27 | 1991-03-18 |
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1989
- 1989-04-13 US US07/337,356 patent/US4979948A/en not_active Expired - Lifetime
-
1990
- 1990-04-11 DE DE69025083T patent/DE69025083D1/de not_active Expired - Lifetime
- 1990-04-11 EP EP90303939A patent/EP0392837B1/de not_active Expired - Lifetime
- 1990-04-11 AT AT90303939T patent/ATE133553T1/de not_active IP Right Cessation
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
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FR2501034A1 (fr) * | 1981-03-06 | 1982-09-10 | Francis Brunelle | Procede et electrode pour l'electrocoagulation de vaisseaux sanguins |
EP0182689A2 (de) * | 1984-10-24 | 1986-05-28 | The Beth Israel Hospital Association | Gerät für die "Angioplasty" |
US4696668A (en) * | 1985-07-17 | 1987-09-29 | Wilcox Gilbert M | Double balloon nasobiliary occlusion catheter for treating gallstones and method of using the same |
EP0222137A1 (de) * | 1985-10-04 | 1987-05-20 | Basem Dr. Nashef | Sonde für die Behandlung von Hohlorganen mit elektrischem Strom |
Also Published As
Publication number | Publication date |
---|---|
US4979948A (en) | 1990-12-25 |
EP0392837A2 (de) | 1990-10-17 |
EP0392837B1 (de) | 1996-01-31 |
DE69025083D1 (de) | 1996-03-14 |
ATE133553T1 (de) | 1996-02-15 |
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